Jacquelyn L Wilson, R, MR

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

RTL6252 Issued in AR

Practice address

11300 Financial Centre Pkwy
Suite 400
Little Rock, AR 72211-3746

Phone

(501) 221-2502

Fax

(501) 221-2504

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chenal MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Little Rock, AR
  • NPI 1376503961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1336431378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LEE AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203874",
            "telephone_number": "501-221-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113746",
            "telephone_number": "501-221-2502",
            "fax_number": "501-221-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JACQUELYN",
        "middle_name": "L",
        "credential": "R, MR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "AR",
            "license": "RTL6252",
            "primary": true
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "AR",
            "license": "380089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Weldon Wilson, MD
• Frances C Wilson, M.D.
• Frank James Wilson Jr., M.D.
• George Edward Wilson, MD
• Haley Brooke Wilson, RDN,LD,CSCS
• Janet Wilson
• Jennifer Wilson, APRN
• Jennifer Nicole Wilson
• Jennifer Noelle Wilson, PSYD
• Jesse E Wilson, MHPP

• Magnetic Resonance Imaging Radiologic Technologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.